Haberlack, Alexa

Haberlack, Alexa is an individual health care provider with primary practice located at 346 Rodeo Dr , Moscow ID 83843-9778. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Haberlack, Alexa can be contacted via phone (425) 422-8302.

Contact Information

Primary practice address
346 Rodeo Dr Moscow ID 83843-9778
Fax:
Website:

Profile Details

NPI number 1235649575
LBN Legal business name Haberlack, Alexa
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2017
Last updated Sep 30th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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